US Department of Health and Human Services Releases Medicare Hospital Ownership Data
The US Department of Health and Human Services Secretary Xavier Becerra announced that the agency will be releasing ownership data for all hospitals that are Medicare-certified. The data will be available for the public and contains information regarding over 7,000 hospitals. The move is intended to promote transparency and accountability.
Payer Groups Team up with Cedar to Improve Patient Financial Experience
The Allegheny Health Network and Highmark Health have announced a new partnership with Ceder to help revamp and consolidate their patient payment information, combining payer and provider prices together. The teamup between the payer and provider is intended to improve the patient financial experience and reduce medical bill-related confusion.
Report Finds 1,200+ Drug Prices Outstripped Inflation
A new report finds that over 1,200 prescription drugs had price hikes that outpaced inflation this year. Fortunately for patients, pharma companies will have to provide a rebates to the Centers for Medicare and Medicaid Services (CMS) for drugs that increase in price faster than inflation for Part B and Part D recipients.
Q3 2021 Health Plan Enrollment Data
In the latest update to the Directory of Health Plans, MMIT’s AIS Health has released health plan enrollment data for [...]
Report Helps Payers Understand Member Perspectives to Increase Value
A report based on a Zipari/Ipsos survey entitled “Payers Don’t Know What They Don’t Know” helps payers address their knowledge [...]
Anthem Will Acquire NY’s Integra Managed Care
Healthcare payer Anthem will acquire Integra Managed Care by mid-2022 for an undisclosed sum. Integra provides long-term home healthcare throughout [...]
Blue Cross and Blue Shield North Carolina Saves Millions Through Value-based Care
Blue Cross and Blue Shield North Carolina (Blue Cross NC) implemented a value-based care program that achieved substantial cost savings [...]
Electronic Prior Authorizations are Gaining Steam
Prior authorizations are not very popular among providers due to their heavy administrative burden and the barriers they seem to [...]
MMIT releases Special Report on Value Based Agreements (VBA’s) Between Payers and Manufacturers
A special report launched by MMIT aims to provide guidance on value-based contracting discussion with evidence-based insights. Some key highlights: [...]
Health Economics & Outcomes Research (HEOR) Services Market Research Report 2020 Just Released
Intellectual Research Partners has released the Health Economics & Outcomes Research (HEOR) Services Market Research Report 2020.The report details the [...]
New Data Released: Higher cost-sharing for brand medicines experienced by commercially insured patients
Health plans are increasingly using deductibles and coinsurance to shift more of the cost of care to chronically ill patients [...]
Payers probably won’t pass COVID savings onto members, despite pandemic-driven boon
Payers were prepared for skyrocketing medical costs due to COVID, but the opposite happened: people consumed less healthcare, on average. [...]
Don’t Forget the Payer in Your Digital Strategy – What Payers Need and Want From Pharma (On-demand Webinar, Slides, Podcast)
On June 25, 2013, I presented a Webinar on this topic. Slides are available for request here and the on-demand archive can [...]